| NPI | 1700991098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN R 138689-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 138689-1) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-03-02 |